This clinical report is based on a review of the records of (246) patients with intestinal obstruction that were managed at the department of surgery, Seoul Red Cross Hospital during 5 years from Jan. 1979 through Dec. 1983.
The results of the study were obtained as follows;
1) The main causes of intestinal obstruction were intestinal adhesion (39.8%), intussusce-ption (21.5%), hernia (16.7%) and neoplasm (10.6%).
2) The location of intestinal obstruction were 76. 1% in small bowel and 22.6% in large bowel. The ratio was 3.2: 1.
3) The most frequent age group was the first decade and the ration of made to female was revealed 1.93: 1.
4) The chief complaints on admission were abdominal pain (83.7%), vomiting (67.9%), and the physical findings were abdominal tenderness (80.1%), abdominal distension (71. 5%).
5) The previous abdominal operations leading to adhesive ileus revealed appendectomy (37.3%), gastro-duodenal surgery (21.7%), gynecologic surgery (14.5%), small bowel surgery (8.4%).
6) Among 246 cases, 81 cases, (32.9%) had conservative treatment, 85 cases (34.6%), eme-rgency operation, and 80 cases (32.5%), delayed elective operation.
7) As for operative procedure, resection and anastomosis were performed in 53(32.1%), adhesiolysis in 43(26.1%), manual reduction 29(17.6%).
8) The incidence of postoperative complication was in 35 cases (21. 2%). The most common complication following surgery was wound infection (38.8%) and next, respiratory failure (24.5%) and abdominal abscess (12.2%).
9) The mean hospital day was 17.6 days.
10) Over all mortality rate was 5.7%. The mortality rate was higher in younger age group, early admission group, strangulated obstruction group, resected group.
The most common cause of death was sepsis. The study was indicated the close relatio-nship between the mortality rate and location, symptom duration, so authors convinced that the exact diagnosis and early proper surgical management is to decrease the mortality of intestinal obstruction.
|